Organization · Type 2 NPI

Community Living Options Inc

Intellectual Disabilities Intermediate Care Facility · Jacksonville, IL

NPI number 1912179045 Active

Practice location

324 E Douglas Street
Jacksonville, IL 62650-2047

Call (217) 245-0818 Map

Fax (217) 245-0822

Mailing address

285 South Farnham Street
Galesburg, IL 61401-5323

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X35774 (IL)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1912179045

Community Living Options Inc's National Provider Identifier is 1912179045, issued on Mar 28, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Jacksonville, IL. The record was last updated on Apr 20, 2008.